ArticleBMC public health2024
Armed conflict and maternal health service utilization in Ethiopia's Tigray Region: a community-based survey.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Availability of essential medicines in conflict-affected african regions: a systematic review and meta-analysis.Conflict and health · 2026Review
- Health-seeking in fragile and conflict-affected settings: how armed violent conflict shapes maternal and child health-seeking behaviours.BMC public health · 2026Article
- Conflict-driven antenatal care interruption in conflict zones of Ethiopia: a systematic review and meta-analysis.Conflict and health · 2026Review
- Postnatal care in crisis: utilization and determinants during the Tigray conflict (2023).Reproductive health · 2026Article
- Caregivers´ qualitative insights on trust, resilience and vaccination attitudes shaping child health in conflict-affected Northeast Nigeria.Conflict and health · 2026Article
- The impact of the Tigray War on the incidence of low birth weight in Tigray, Ethiopia: A retrospective cohort study.PLOS global public health · 2026Article
- Preconception health risk profiles among women planning pregnancy in northern Ethiopia: a latent class analysis.BMJ open · 2025Article
- Exploring adherence to iron and folic acid supplementation in pregnant women at rural health facilities in Waghimra zone, Northern Ethiopia.BMC pregnancy and childbirth · 2025Article
- Impacts of Armed Conflicts on Healthcare and Nutrition Services in Ethiopia: A Narrative Review.Public health challenges · 2025Review
- Trend and multivariate decomposition analysis of modern contraceptive utilization among women in Ethiopia.Scientific reports · 2025Article
- Spatial patterns and predictors of antenatal care interruption in war-torn Tigray, northern Ethiopia: Spatial modelling approach.PloS one · 2025Article
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- Factors influencing the use of obstetric care during childbirth in rural Sudan: a qualitative study among healthcare providers.Gates open research · 2025Article
- Postwar Decline in Healthcare Services Utilization With Rising Disparities: A Repeated Cross-Sectional Study Using Count Data Models.Inquiry : a journal of medical care organization, provision and financingArticle
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16 authors.
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Abstract
backgroundEvidence generated on utilization of maternal health services during times of conflict can inform the development of targeted interventions. The deadly war in Tigray caused the health system to collapse. However, utilization of maternal health services is not well documented that might help in design effective interventions applicable during armed conflict. Thus, this study aimed to assess maternal health service utilization and bridge the gap in healthcare provision and support during conflict. .
methodsA community-based cross-sectional survey was conducted among mothers of children under the age of 1 year in six accessible zones of Tigray from August 4-20, 2021. The study participants were selected through a random sampling method. The study was conducted during the armed conflict where the access to health services was limited due to the damaged and looted health facilities. A descriptive study was used to characterize the study population and data were presented using proportions and percentages. A Chi-square test was used for categorical variables and a P-value of 0.05 was considered significant. .
resultsA total of 4,381 participants were included in the study. Modern contraceptives were used by 1002 (22.9%) of women, and injectable contraceptives were the most common method used by 472 (47.1%) women. Likewise, only 830 (36.5%),1956 (47.1%), and 623 (15.0%) respondents reported the use of optimal antenatal care (ANC), skilled delivery, and postnatal care (PNC) in the first 24 h by mothers, respectively. About 34% of women received comprehensive abortion care services. Most delivery services took place in hospitals. Residence has shown a significant difference in using maternal health services at p-value < 0.001.
conclusionThe conflict in Tigray has had a profound impact on maternal health services, resulting in a significant disruption that is disproportionately high in rural areas. Immediate action is required to provide access to lifesaving interventions for basic maternal health services. The timely initiation of these services is crucial in addressing the pressing needs of pregnant women and their infants. By implementing comprehensive and targeted interventions, we can mitigate the potential long-term consequences and ensure that maternal health services are effectively reinstated.
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